Name

First Name

Last Name

Phone *

(###)

###

####

Event Date *

If multiple dates, list START date

MM

DD

YYYY

Event Start Time *

List start time of the event

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

Setup Time: *

When will building use be needed for event/program setup?

Hour

Minute

Second

AM PM

Room Request *

Please check all that apply

Sanctuary (max. capacity 400)

Koinonia Hall and Gallery (max. capacity 225)

Friendship Hall (max. capacity 100)

Narthex

Shalom (max. capacity 100)

Atrium

Alpha/Omega Conference Room (M-F Only)

Room 100

Bonhoeffer Room (max. capacity 20)

Youth Room

Kitchen

Firepit (outdoors)

Parking Lot

Setup Needs

Please check all that apply.

Round Tables (8 people)

6' Long Tables

8' Long Tables

Easels

Chairs

White Board

Music Stand(s)

Audio/Tech Needs:

Please check all that apply.

TV/ DVD

Streaming/ Hybrid Setup

Projector

Music Setup (mic, guitar, etc.)

Zoom Room Access

Square (credit card processing - accountant approval)